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Pus�ic� woRKs <br />PERMIT <br />PU�LIC WORKS DEPARTM[NT � : <br />3200 Cedar Street ' � � <br />Evcretl. WA9820L .. .. . <br />(425) 257-BB10 �. '. .. ' <br />owNEaNnrnE. PAF.}; AVEN!tE ELtILDEF.S LLC�'r�..,� <br />ANDADDRE55. � ..-. <br />12<21 ViLLAGE CENTEF LL k:ij� <br />t4UKILT'EO WF. 9F215 <br />Pi+oNE :125349955ii <br />TA%PANCELI.D.N 005057i100p170 <br />nescnirnoNaF � � =' �� <br />PHOPOSED WORK: <br />PERMIT CONDITIONS <br />_ I <br />APPLICANTNAME t���y.__ <br />ANDADDRESS: . <br />PHONE: <br />PROJEC <br />Date „��1,��r,li� <br />Public Works Permit # PW0506-0 �J <br />COSOo-057 <br />�uilding Permit k <br />Planning Refcrence k <br />Public Works Fee 5 G� 5,,� �) <br />Guarantee S <br />� !�nSTiNG..sc�..2..3..`�1,•� <br />� �:� r�anF,•�xa �« <br />i. All calls (or inspection shall be made 24 hours in advance - phone (425) 257-881C <br />2. All work shall be perlormed in accord2nce with Ihis permit and current City of Everell Design and Conslruction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUfdBEF 1-800-424-5555 <br />,. rannect ���!_. ::��wc pec �ity Star.d,ud $!;u"_. <br />.. ('�JI1t1��Ci 31�. COOiCJ�? �jpWllE�?t:Ui::i LO bi;l:i2111�] catch hasin �JR iQ���COIId. <br />. Ina[all a Type I concL�t� t1Li��way pec City of Eveiett StandarJ H3n7. <br />7. Pave di;veway from the back of nrw dci�reway apeon te �73Cd�3r_ (ccn�icete �7kayi. <br />G. Inslt♦,l`l ecosien c���nccol measuie� as �ie_ecmin�d t�yFth� Fublic Gock� inspect-ve ��.u:h <br />].i� :�Lll tf'�jl�l�� �t.Lc�iai'la��]:i� .i{v.1�1+:I 1_i� Y['1'i�1.V��'!�a3���F'`S• <br />4. Th�� h:v=:� r��_u:�_:.�es rhe installati;�n ot .i f��� hyd_,::_ (the !'icy wate� ctepa�trt;en: <br />�.ril'_ in::ts_1 Toc the cosr ��f la;-�.�e , matei�ial�j. <br />�CKWGWLECGEMENT OF CONDITIONS <br />W <br />I-- <br />��N <br />V� <br />W <br />O <br />� <br />O <br />/�� <br />V� <br />� <br />a <br />The undersigretl owner/appiicanl hereby agrees to hold and <br />save harmless Ihc City ol Everett Irom any and all claims lor <br />damages, costs, erpenses, or causes of action that may arise <br />because ot in;tallation and maintenance ol iho Improvement or <br />olher righ4obway use hcrelo applied br and further agrees to <br />remove same upon notice from Ihe City and to replace public <br />prop6tty damage�eby. � <br />; Co� � �-I �—'-� .s "b'' �'S <br />Sign, o pplicanl ' ate <br />1'JORK AUTHORI7.f0 R1' THIS P[RhilT h1UST BE S7AR7ED WI7hIIN 1B0 DAYS OF DAT[ PEflh11T IS ISSUED AND THEREAFTER IS TO 9E DILIGENTLV PUhSUED <br />10 C01,1PL[1lON. Th115 PFRL117 A1AY PE CANCFLLED BY THE CITV UPON ANY STOPPAGE OF WORK ON THIS PROJC-CTOVER 90 �AYS DURATION. <br />